Individual
STEPHEN F KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3226 HAMPTON AVE STE B, BRUNSWICK, GA 31520-4257
(912) 265-0492
(912) 265-1091
Mailing address
3226 HAMPTON AVE STE B, BRUNSWICK, GA 31520-4257
(912) 265-0492
(912) 265-1091
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
039839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665035B
—
GA
Enumeration date
07/07/2006
Last updated
11/24/2020
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